Organization Active NPI

Concierge Cosmetic Dentistry

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1033612080
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CONCIERGE COSMETIC DENTISTRY
Practice address
10025 Lake June Rd
Dallas, TX 75217-3041
Phone
(469) 693-2770
NPI assigned
Mar 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Huy Le, D.D.S
Title
President
Phone
(972) 362-2237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10025 Lake June Rd
Dallas, TX 75217-3041

Mailing address

10025 Lake June Rd
Dallas, TX 75217-3041
Phone (972) 362-2237

Other identifiers 1

IdentifierTypeStateIssuer
1023547254MedicaidTX

National Provider Directory

National Provider Directory

Locations

10025 Lake June Rd
Dallas, TX 75217
Phone (972) 362-2237

3005 E Renner Rd
Ste 140
Richardson, TX 75082

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1033612080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173041",
            "telephone_number": "972-362-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173041",
            "telephone_number": "469-693-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-362-2237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023547254",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.